Coronial

314 results for substance abuse history

WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

Fazel Chegeni Nejad, a 34-year-old Iranian asylum seeker, died from ligature compression of the neck in the jungle near Christmas Island immigration detention centre on 8 November 2015. He had spent 1,477 days in detenti…

psychiatrygeneral practicesystemcommunicationmirtazapine
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

JC was a 30-year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to C…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
TAShospital2019-09-26

Coroner's Finding: Peck, Edward Paisley

23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…

A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric dischar…

psychiatryemergency medicinecommunicationdiagnosticlithium carbonate
VIC2022-07-15

Finding into death of Noel Thomas

42y · Male·hanging

Two prisoners at Karreenga Correctional Centre died by suicide within four months of each other. Mr Lowe, aged 35, hanged himself on 7 March 2017 after learning his prison sentence would be longer than expected. Mr Thoma…

psychiatrycorrectional healthsystemcommunication
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…sting approximately 150 tablets from a medication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in 2003 caus…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
NSW2018-08-31

Inquest into the death of MC

31y · Male·hanging

MC, a 31-year-old male with a history of drug-induced psychosis and substance abuse, died by hanging in May 2015 at the Metropolitan Reception …

psychiatrycorrectional healthcommunicationsystemolanzapine
VIChome2023-12-11

Finding into death of Shane Michael Tuck

38y · Male·hanging

Shane Tuck, an elite AFL player (2004-2013) and professional boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (CTE).…

neurologypsychiatrycocaine
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She…

general practicepsychiatrycommunicationsystemmirtazapine
ACT2018-04-11

AN INQUEST INTO THE DEATH OF STEVEN CLAUDE FREEMAN

25y · Male·Aspiration pneumonia secondary to methadone toxicity

Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie Centre in the ACT. He was assessed as opioi…

addiction medicinegeneral practicediagnosticsystemmethadone
WA2004-02-10

Inquest into the Death of Dylan Robert Green

26y · Male·Ligature Compression of the Neck (Hanging)

…an Robert Green, a 26-year-old remand prisoner at Hakea Prison, died by hanging on 11 July 2002. He had a history of serious mental illness, including psychotic episodes with delusional beliefs, and a previous suicide a…

psychiatrycorrectional healthsystemcommunicationolanzapine
WAhospital2010-01

Inquest into the Death of West

8y · Male·Hypoxic Ischaemic Encephalopathy resulting from asphyxiation due to co-sleeping …

Nathaniel West, an 8-day-old Aboriginal newborn, died from hypoxic ischaemic encephalopathy following accidental asphyxiation due to co-sleeping (bed-sharing) with his mother at Kalgoorlie Regional Hospital on 4 May 2006…

neonatologyintensive caresystemcommunicationmetronidazole
WA2019-05-22

Inquest into the 5 Deaths in Casuarina Prison who are Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM

Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…

Five male prisoners died by suicide at Casuarina Prison, Western Australia between 2014-2015. All deaths were by hanging or self-inflicted laceration. The coroner identified multiple systemic failures including: inadequa…

psychiatrypsychologysystemcommunication
WAprison2025-03-10

Inquest into the Death of Ricky-Lee COUND

22y · Male·ligature compression of the neck (hanging)

Ricky-Lee Cound, a 22-year-old Noongar man with Foetal Alcohol Spectrum Disorder (FASD), died by suicide in Hakea Prison on 25 March 2022 from ligature compression. Critical clinical lessons emerge: (1) his FASD diagnosi…

psychiatrypsychologydiagnosticcommunicationaripiprazole
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

… intentional overdose of prescribed hydromorphone while residing at a domestic violence refuge. She had a history of depression, previous suicide attempts, and was in crisis following separation from her violent partner…

psychiatrygeneral practicediagnosticcommunicationhydromorphone

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